Provider Demographics
NPI:1669789145
Name:BABOOLAL, DORAINE FAITH (CRNA)
Entity type:Individual
Prefix:MRS
First Name:DORAINE
Middle Name:FAITH
Last Name:BABOOLAL
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:PO BOX 271647
Mailing Address - Street 2:UNC FP
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-1647
Mailing Address - Country:US
Mailing Address - Phone:919-966-5136
Mailing Address - Fax:984-974-4873
Practice Address - Street 1:DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:N2198 UNC HOSPITALS CB#7010
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7010
Practice Address - Country:US
Practice Address - Phone:919-966-5136
Practice Address - Fax:984-974-4873
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2022-02-09
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Provider Licenses
StateLicense IDTaxonomies
VA0024168950367500000X
NC249482367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC0282Medicare PIN